In a message dated 5/20/2007 4:08:47 PM Pacific Daylight Time, AnnMBP writes:

Nancy, thank you for clarifying that the amount for supplements is 3-10 ml/kg 
at the ABM site, is that true at the AAP site?  
But what if a baby takes less than that of colostrum? 


XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
There is nothing on the AAP site about this that I know of.
No-one knows exactly how much colostrum is necessary in any given infant to 
maintain blood glucose, but it must be VERY little.  You are too young to 
remember when we were taught to keep all babies NPO for 6-8 hrs, then feed sterile 
water, and only then formula or breast milk.  The WHO document says no healthy 
term infant gets hypoglycemic from underfeeding in the first few days.  
Epidemiologic studies show that blood glucose increases over time whether the 
infant is fed or not.
 
Any feeding at the breast or drops of colostrum are considered OK.  The 
specified volume is for formula, not EBM.

 
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist
Medical Director, Lactation Services
Sharp Mary Birch Hospital for Women
San Diego, CA USA
[log in to unmask]



************************************** See what's free at http://www.aol.com.

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]